| Adeyosoye Dawodu, MD | |
|
1300 Franklin Ave, Suite 250, Normal, IL 61761-3592 | |
| (309) 268-3589 | |
| (309) 268-2536 |
| Full Name | Adeyosoye Dawodu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1300 Franklin Ave, Normal, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932132685 | NPI | - | NPPES |
| P00478520 | Other | IN | RAILROAD MEDICARE |
| 000000549806 | Other | IN | ANTHEM |
| 200890360 | Medicaid | IN | |
| 36113848 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036-113848 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Professional Services Llc | 0840291944 | 374 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Adeyosoye Dawodu, MD 1300 Franklin Ave, Suite 250, Normal, IL 61761-3592 Ph: (309) 268-3589 | Adeyosoye Dawodu, MD 1300 Franklin Ave, Suite 250, Normal, IL 61761-3592 Ph: (309) 268-3589 |
Kerline Ductan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Muhammad Ali Naveed, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Ramaprasad Konanur, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Suite 250, Normal, IL 61761 Phone: 309-268-3589 Fax: 309-268-2536 | |
Dr. Bilal Ali Mohamed, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave Ste 110, Normal, IL 61761 Phone: 309-268-3502 | |
Ahmad Hasan Rimawi, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 |